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Published on: November 27, 2019
[ACTION OF L-CARNITINE, CORVITIN AND THEIR COMBINATION ON FUNCTIONAL STATE OF LIVER IN EXPERIMENTAL MODEL OF REYE
M Ghonghadze1, N Antelava1, K Liluashvili1
1Tbilisi State Medical University, Department of Pharmacotherapy; JSC "Curatio", Tbilisi, Georgia.
Reye syndrome, linked to aspirin use in children, causes severe liver damage and encephalopathy. L-Carnitine and Corvitin treatments improved liver function and prevented mortality in a rat model, suggesting synergistic benefits.
Area of Science:
- Biochemistry
- Toxicology
- Pharmacology
Background:
- Reye syndrome, a severe condition linked to aspirin administration during viral infections in children, is characterized by encephalopathy and liver insufficiency.
- Carnitine deficiency and hepatocyte damage are critical factors in Reye syndrome pathogenesis, impairing mitochondrial function, gluconeogenesis, and urea production.
- This leads to toxic encephalopathy and liver failure, highlighting the need for effective therapeutic interventions.
Purpose of the Study:
- To evaluate the efficacy of L-Carnitine, Corvitin, and their combination in ameliorating liver dysfunction in an experimental rat model of Reye syndrome.
- To assess the impact of these interventions on key indicators of liver function, including hepatocyte damage, glucose and urea levels, and cholestasis markers.
Main Methods:
- A Reye syndrome model was induced in Wistar rats using daily intraperitoneal administration of 4-pentenoic acid (20mg/kg) for seven days.
- Treated groups received intraperitoneal L-Carnitine (300mg/kg), Corvitin (100mg/kg), or a combination of both.
- Liver function was assessed by monitoring hepatocyte cytolysis indicators, glucose and urea levels, and cholestasis markers.
Main Results:
- Both L-Carnitine and Corvitin monotherapy significantly improved liver function, reducing hepatocyte damage markers and increasing glucose and urea levels.
- L-Carnitine showed a slightly greater improvement in cholestasis markers compared to Corvitin.
- The combination therapy demonstrated a pronounced hepatoprotective effect, normalizing liver damage indicators and resulting in no mortality among the treated rats.
Conclusions:
- Concurrent administration of L-Carnitine and Corvitin exhibits significant synergistic hepatoprotective effects in the Reye syndrome rat model.
- This combined therapeutic approach effectively corrects liver function and prevents mortality, suggesting its potential clinical recommendation for Reye syndrome management.
- Further research into the synergistic mechanisms underlying this combined therapy is warranted.
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